2008—2014年中国大陆手足口病的时空变化规律  

Temporal-spatial variation of hand-foot-mouth disease in 2008 to 2014,China

作　　者：李鹏 葛淼 王聪霞[2] 井静 何进伟 韦德智[1] Li Peng1, Ge Miao1, Wang Congxia2, Jing Jing1,3, He Jinwei1,4, Wei Dezhi1(1Institute of Health Geography, School of Geography and Tourism, Shaanxi Normal University, Xi＇ an 710119; 2Department of Cardiovasology, the Second Affiliated Hospital, Medical School of Xi＇ an Jiaotong University, Xi＇ an 710004; 3College of Geography and Enviroment, Baoji University of Arts and Sciences, Baoji 721000; 4College of Medicine, Yah＇ an University, Yah＇ an 716000, Chin)

机构地区：[1]陕西师范大学地理科学与旅游学院健康地理研究所,陕西西安710119 [2]西安交通大学医学院第二附属医院心内科,陕西西安710004 [3]宝鸡文理学院地理与环境学院,陕西宝鸡72100 [4]延安大学医学院,陕西延安716000

出　　处：《南京医科大学学报（自然科学版）》2018年第3期380-385,共6页Journal of Nanjing Medical University(Natural Sciences)

基　　金：国家自然科学基金(40971060);陕西师范大学研究生创新基金重点项目(中央高校资助:2016CSZ005)

摘　　要：目的:分析我国2008—2014年各省手足口病的时空变化趋势,为疾病预防和控制提供依据。方法:收集我国23个省份、5个自治区、4个直辖市,2008—2014年每月的手足口病发病人数和发病率,采用流行病学描述性方法和标准差椭圆、中位数中心以及热点分析等地统计学方法对手足口病数据进行分析。结果:(1)2008—2014年,手足口病报告11 814 830例,平均总和增长率125.55/10万,发病率较高;(2)在月份变化上,4—7月是手足口病爆发的第1高峰,9—11月是爆发的第2高峰,但不同地理区域内存在差异;(3)东南部地区手足口病发病率较高并且呈双峰型趋势,而西北和东北地区手足口病的发病率较低且呈单峰型趋势;(4)我国南部地区手足口病发病有增长趋势,应该加强防控。结论:我国手足口病的发病时间和集中区域存在差异性,不同省区应根据各自手足口病的发病时间采取预防和控制措施,降低疾病的发生率和病死率。Objective：To explore the variation of hand-foot-mouth disease（HFMD）in China from 2008 to 2014 and provide implements for preventing the disease. Methods：The HFMD data from 23 provinces,5 autonomous regions and 4 municipalities was obtained from National Center for Disease Control and Prevention according to month. Standard deviation ellipse,median center and hot-spot analyses were employed to analyze HFMD data. Results：（1）During the year 2008 to 2014,it was reported 11 814 830 HFMD cases,with an average growth rate of 125.55 per 100 thousandth.（2）The outbreak of HFMD was in April to July and September to November,but different regions had different characteristics.（3）There were higher HFMD incidence rate in southeastern areas with double peaks than that in northwestern areas with single peak.（4）HFMD incidence rate had an increasing trend in southern areas.Conclusion：There was a dominantly regional difference at period of incidence and diffusion. Thus,different provinces should implement prevention and control measures to reduce the incidence and mortality depended on its characteristics.

关 键 词：手足口病 时空分布 地统计学 

分 类 号：R181.2[医药卫生—流行病学]